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NPI Code Detail

MEDICARE: JILL BETH D'AMICO D.O.

MEDICARE: JILL BETH D'AMICO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS010698LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811950678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL BETH D'AMICO D.O.
Provider Business Mailing Address
First Line : 7 DOCK HILL RD
Second Line :
City : MIDDLEBURG
State : PA
Zip : 17842-8910
Country : US
Telephone Number : 570-837-2123
Fax Number : 570-837-2185
Provider Business Practice Location Address
First Line : 941 PARK DR
Second Line :
City : PALMYRA
State : PA
Zip : 17078-3445
Country : US
Telephone Number : 717-838-6305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 08/17/2023

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